Physician Quality Reporting System 2016: Keep Calm and Report On!

As the calendar year 2016 begins, many providers may be getting nervous about their Physician Quality Reporting System (PQRS) participation.  In the wake of many providers receiving PQRS penalty letters in the last few months, providers have reason for concern.  Financial penalties associated with PQRS and the associated Value Based Modifier program (VM) continue to be between 2% and 6% of total Medicare payments in 2016.  Furthermore, the administrative requirements of the program keep growing and growing.  However, in 2016, there have been several changes and measure additions specific to radiology that should allow for more choices for reporting – and, more importantly, a higher probability of successful reporting.

While the requirement to report 9 PQRS measures to avoid a penalty has not changed since 2015, there are several new measures pertaining specifically to radiology.  There are three new claims-based PQRS measures for various CT’s, one new claims-based measure for vertebroplasties, and one new claims-based measure for EVAR procedures.  There are also several new ‘registry only’ measures for interventional procedures.

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For additional information on the PQRS program and more details concerning the new PQRS radiology measures, download the whitepaper. You can also visit our website or contact me directly at wendy.driscoll@radadvocate.com.

Best regards,
Wendy Driscoll, MBA
Senior Client Manager